在住院儿童中脑的流行病学和结果
Leanna Laor1, Prithvi Sendi2, Paul Martinez2
1Division of Critical Care Medicine, Nicklaus Children's Hospital, Miami, Florida.
Pediatric neurology
|August 24, 2023
概括
儿童的大脑是罕见但严重的,通常是由中风或无氧脑损伤引起的. 虽然无氧性损伤导致高死亡率,但糖尿病酸性糖尿病与最低的风险有关.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 神经学 神经学
- 流行病学 流行病学
背景情况:
- 大脑,一个危险的情况,可以引起儿童的各种疾病.
- 及时管理至关重要,但结果可能是严重的.
研究的目的:
- 确定住院儿童中脑的患病率,原因和结果.
- 确定影响儿科脑病例死亡率的危险因素.
主要方法:
- 使用2016年儿童住院患者数据库进行的回顾性横截面研究.
- 分析包括1个月至20岁的儿童,国家估计来自加权样本.
- 后勤回归评估了影响死亡率的人口和病因因素.
主要成果:
- 大脑发生在每1000名儿科医院出院患者中的2.2名 (4903例).
- 主要原因包括中风 (21.7%),无氧损伤 (21.4%) 和中枢神经系统恶性病 (16%).
- 总体死亡率为29.4%,无氧损伤 (84%) 显著高,但中枢神经系统恶性瘤 (9.5%) 和糖尿病酸性脂肪酸 (4.3%) 较低.
结论:
- 大脑水是一种不常见的,但在住院儿童中高死亡率的疾病.
- 脑卒中和无氧性脑损伤是美国的主要原因.
- 无氧性脑损伤带来了最高的死亡风险,而糖尿病酸性酸性糖尿病的死亡风险最低.
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